Henderson Long Term Care LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5092706127 Enrollment ID O20180103000493

Linked facilitiesFacilities

StatesStates

6 parties: 3 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Darrin Cook	7517868854	Individual	Corporate Officer; W-2 Managing Employee	—
Thi of Nevada LLC	1456252790	Organization	5% or Greater Direct Ownership Interest	100
Hunt Valley Holdings LLC	9234149113	Organization	5% or Greater Indirect Ownership Interest	100
Murray Forman	4789622614	Individual	5% or Greater Indirect Ownership Interest	100
Thi of Baltimore, Inc.	9234049222	Organization	5% or Greater Indirect Ownership Interest	100
Christine Boston	4789043118	Individual	Corporate Officer	—

Darrin CookPAC 7517868854
IndividualCorporate Officer; W-2 Managing Employee
Thi of Nevada LLCPAC 1456252790
Organization1005% or Greater Direct Ownership Interest
Hunt Valley Holdings LLCPAC 9234149113
Organization1005% or Greater Indirect Ownership Interest
Murray FormanPAC 4789622614
Individual1005% or Greater Indirect Ownership Interest
Thi of Baltimore, Inc.PAC 9234049222
Organization1005% or Greater Indirect Ownership Interest
Christine BostonPAC 4789043118
IndividualCorporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Green Valley Health and Wellness Suites Henderson Long Term Care LLC 106 residents		Other disclo…	3.40	Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★☆☆	106

Green Valley Health and Wellness Suites
Henderson Long Term Care LLC
Other disclosed role106 res3.40 HPRD
Overall 3Staffing Staff 2

Related CMS associates

Name match to Henderson Long Term Care LLC in FEC filings. Similar names may appear—confirm on FEC.gov.